Year: 1995
Type: article
Study design: Case Report
Abstract: Candida infections in adults are on the increase in recent years, but Candida septic arthritis remains uncommon.Most cases involve host immunosuppression or iatrogenic risk factors.1' 2-5 This case report describes a patient with multiple medical problems who presented with isolated Candida arthritis in her left shoulder 1 year after a single episode of transient candidaemia. CASE REPORTA 64-year-old woman with spina bifida, chronic paraplegia, chronic renal failure, hypertension, and a history of breast and bladder carcinoma was admitted in August 1991 with fever and chills after an episode in which her permanent catheter was irrigated with urokinase solution.Her initial blood culture grew out Candida tropicalis.Three subsequent blood cultures during the same hospital stay were negative for Candida, and as a result the patient was not treated.The diagnosis was a transient fungaemia.Throughout the next year the patient had intermittent pain in the left shoulder.The pain was not severe enough to require medical attention, and no aspirations of the shoulder were performed.In August 1992, approximately 1 year after the episode of transient fungaemia, the patient presented with progressive swelling, pain, and warmth of the left shoulder.No signs of systemic illness were seen, and no other joints were symptomatic.Routine radiographs were read as normal.Arthrocentesis yielded a large amount of cloudy fluid; Candida tropicalis was grown on culture.This condition was treated with serial aspirations, systemic
Language: English
Subfield: Infectious Diseases
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
Estimated APC paid: $3,850
OpenAlex ID: W2003932378